ASSIGNMENT SHEET

NAME:

COMPANY:

DATE:

CONTACT :

EMAIL:

TYPE OF CLAIM:

CLAIM NO:

DATE OF LOSS:

INSURED:

CONTACT:

ADDRESS:

LOSS LOCATION:

CLAIMANT:

CONTACT:

ADDRESS:

DESCRIPTION OF LOSS:

INSTRUCTIONS:

856-692-2288

Franklin Insurance Adjusters was founded in 2003 by Salvatore J. Gaetano. What began as a one man operation in Vineland, New Jersey only serving the South Jersey area rapidly grew within the region expanding South, into the Midwest and now nationwide by providing a quality service in a timely manner and at a competitive price.